Provider Demographics
NPI:1790529857
Name:JULIANO, DONNA J (RN)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:J
Last Name:JULIANO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 KING HILL EARLTON RD
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:NY
Mailing Address - Zip Code:12176-1917
Mailing Address - Country:US
Mailing Address - Phone:518-755-6438
Mailing Address - Fax:
Practice Address - Street 1:411 MAIN ST STE 300
Practice Address - Street 2:
Practice Address - City:CATSKILL
Practice Address - State:NY
Practice Address - Zip Code:12414-1366
Practice Address - Country:US
Practice Address - Phone:518-719-3580
Practice Address - Fax:518-719-3552
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY483449163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)